Allogene, genetisch modifizierte T-Zellen (1) – Zalmoxis®
Haematological malignancies, concomitant therapy in haploidentical haematopoietic stem cell transplantation
Characteristics
| Start date | 15.01.2018 – Marketing authorisation: 18.08.2016 |
|---|---|
| Resolution | 05.07.2018 |
| Limitation date | 01.04.2021 |
| INN | Allogene, genetisch modifizierte T-Zellen |
| Brand name | Zalmoxis® |
| Pharm. company |
Dossier: Dompé farmaceutici S.p.A.
New distributor: MOLMED S.P.A. |
| G-BA Procedure ID | D-333 |
| ATC code | L01XX60 Other antineoplastic agents (L01XX) |
| DDD | 1 U P |
| Therapeutic area | Oncological diseases Stem cell transplant Orphan |
| Reason for procedure | Initial assessment |
| Regulatory status | Conditional Approval ATMP authorisation withdrawn by manufacturer |
| Therapeutic indication of the resolution |
|---|
|
Zalmoxis is indicated as adjunctive treatment in haploidentical haematopoietic stem cell transplantation (HSCT) of adult patients with high-risk haematological malignancies. |
| Subpopulation | Indication | Comparator |
|---|---|---|
| Adjunctive therapy for haploidentical haematopoietic stem cell transplantation (HSCT) in adults with high-risk haematological malignancies | – (Orphan drug) |
Studies and Results
|
No. of studies
(best subpopulation) |
1 (TK007) |
|---|---|
|
Study design
(best subpopulation) |
Single-arm + historical comparison |
|
Meta analysis
(best subpopulation) |
no |
- Clinical trials
- The TK007 study is a single-arm, uncontrolled clinical study of Phase 1/2 investigating the efficacy and safety of ‘allogeneic, genetically modified T-cells’ as an adjunctive treatment option in haploidentical haematopoietic stem cell transplantation (HSCT).
- The TK008 study is an ongoing, randomised, controlled Phase 3 trial enrolling adult patients with acute leukaemia.
Allogeneic, genetically modified T-cells as adjuvant therapy in haploidentical haematopoietic stem cell transplantation (HSCT) in adults with high-risk haematological malignancies
- The G-BA assesses the extent of the additional benefit to be assumed, from a purely legal perspective, pursuant to Section 35a(1), sentence 11, first clause, of SGB V, of ‘allogeneic, genetically modified T-cells’ – to be assumed solely from a legal perspective under Section 35a(1), sentence 11, first half-clause, of SGB V – as non-quantifiable, based on the criteria set out in Section 5(7) of the AM-NutzenV, taking into account the severity of the disease and the therapeutic objective in treating the disease.
- An additional benefit exists in accordance with Section 35a(1), sentence 11, first clause, of SGB V, but is non-quantifiable because the scientific evidence currently does not permit this.
- Conclusion
- To assess the additional benefit, the pivotal study TK007 – a single-arm, uncontrolled clinical study of Phase 1/2 – was submitted, along with data on individual patients from the ongoing Phase 3 study TK008 and a historical control using data from a registry.
- Overall, based on the study data presented and the historical control, it is not possible to make a valid assessment of the additional benefit of ‘allogeneic, genetically modified T-cells’ in the indicated therapeutic indication.
Courtesy translation only, please refer to the German original.
Associated procedures
| Allogene, genetisch modifizierte T-Zellen (1) | Zalmoxis® | Dompé farmaceutici S.p.A. | Haematological malignancies, concomitant therapy in haploidentical haematopoietic stem cell transplantation | 100–140 | 100% non-quantifiable additional benefit Orphan |
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